Individual
DR. MICHAEL J KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 10TH ST, AMES, IA 50010-6211
(515) 232-3451
(515) 233-4886
Mailing address
201 10TH ST, AMES, IA 50010-6211
(515) 232-3451
(515) 233-4886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2296
IA
152WC0802X
Corneal and Contact Management Optometrist
2296
IA
152WP0200X
Pediatric Optometrist
2296
IA
152WS0006X
Sports Vision Optometrist
2296
IA
152WV0400X
Vision Therapy Optometrist
2296
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450254
—
IA
Enumeration date
08/22/2005
Last updated
10/22/2007
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